| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,683 |
6,588 |
$287K |
| E0601 |
Cont airway pressure device |
3,309 |
3,165 |
$106K |
| A7030 |
Cpap full face mask |
1,054 |
982 |
$55K |
| A7031 |
Replacement facemask interfa |
2,050 |
1,957 |
$52K |
| A4604 |
Tubing with heating element |
2,185 |
2,031 |
$49K |
| A7032 |
Replacement nasal cushion |
1,520 |
1,450 |
$43K |
| A7034 |
Nasal application device |
1,172 |
1,086 |
$39K |
| E0562 |
Humidifier heated used w pap |
307 |
299 |
$27K |
| E0431 |
Portable gaseous 02 |
3,422 |
2,885 |
$21K |
| A7038 |
Pos airway pressure filter |
5,427 |
4,998 |
$20K |
| A7035 |
Pos airway press headgear |
1,558 |
1,416 |
$18K |
| A7033 |
Replacement nasal pillows |
784 |
757 |
$16K |
| E1392 |
Portable oxygen concentrator |
805 |
761 |
$13K |
| E0470 |
Rad w/o backup non-inv intfc |
127 |
126 |
$7K |
| A7046 |
Repl water chamber, pap dev |
922 |
864 |
$6K |
| K0001 |
Standard wheelchair |
211 |
196 |
$2K |
| E0570 |
Nebulizer with compression |
30 |
24 |
$396.95 |
| A7037 |
Pos airway pressure tubing |
29 |
26 |
$265.23 |
| A7039 |
Filter, non disposable w pap |
15 |
14 |
$64.70 |
| E0260 |
Hosp bed semi-electr w/ matt |
25 |
24 |
$0.00 |